MARK L CLARK PHD
NPI 1306921853
Psychologist in Conway, AR

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2200 ADA AVE STE 302, CONWAY, AR 72034(501) 932-0352(501) 932-0354 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2023, Jun 23, 2016 (2 updates tracked since 2016).

About Mark L Clark Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK L CLARK PHD (NPI 1306921853) is an individual psychologist in Conway, Arkansas, licensed in Arkansas (89-13P) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1306921853
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK L CLARKCredential: PHD
Location Address2200 ADA AVE STE 302Conway, AR 72034-4985
Mailing Address2200 Ada Ave Ste 302Conway, AR 72034-4985 · (501) 932-0352 · Fax (501) 932-0354
Fax(501) 932-0354
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
NPI 1306921853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AR · 89-13P
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2200 ADA AVE STE 302, Conway, AR 72034

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark L Clark Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527967298
PECOS Enrollment IDI20040102000233
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
200 services30 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
30 services30 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
2200 ADA AVE STE 302
CONWAY, AR 72034
Psychiatry & Neurology (Neurology)
2200 ADA AVE STE 302
CONWAY, AR 72034
Physician Assistant (Medical)
2200 ADA AVE STE 302
CONWAY, AR 72034
Psychiatry & Neurology (Neurology)
2200 ADA AVE STE 302
CONWAY, AR 72034
Nurse Practitioner (Family)
2200 ADA AVE STE 302
CONWAY, AR 72034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Clark's NPI number?

The NPI number for Mark Clark is 1306921853. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Mark Clark located?

Mark Clark practices at 2200 Ada Ave Ste 302, Conway, AR 72034. The listed phone number is (501) 932-0352.

What is Mark Clark's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Clark enrolled in Medicare?

Yes. Mark Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Clark accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mark Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on May 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.